Field-Based Care Coordinator & LTSS Specialist

Jobtome; Chillicothe (IL); On-site; USD 35,000 - 68,000; Full time

Job summary

Molina Healthcare is seeking a Care Management Specialist to support LTSS coordination and member care across the continuum in Illinois. You will perform comprehensive assessments, develop and monitor care plans, and coordinate waiver services with clinicians, caregivers and members.

Travel 25-40% may be required. The role emphasizes quality, cost-effective care through collaboration, documentation, and connecting members with community resources.

Qualifications

• At least 2 years of health care experience, LTSS experience preferred.
• Experience in care management or medical/behavioral health settings required.
• Licensure/certification required only if state contract mandates it.

Responsibilities

• Completes comprehensive member assessments within regulated timelines and home visits as required.
• Facilitates waiver enrollment/disenrollment processes and care plan development.
• Monitors care plan effectiveness and documents interventions and progress.
• Promotes services integration across LTSS, behavioral health, and community resources.
• Assesses medical necessity and authorizes waiver services.
• Coordinates ICT meetings for service approval or denial.
• Educates and motivates members using motivational interviewing and clinical guidelines.

Skills

Healthcare experience

Care management

Communication skills

Time management

Problem-solving

Self-motivation

Education

Clinical licensure/certification

Health care degree may be required

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Care Management Specialist to support LTSS coordination and member care across the continuum in Illinois. You will perform comprehensive assessments, develop and monitor care plans, and coordinate waiver services with clinicians, caregivers and members.

Travel 25-40% may be required. The role emphasizes quality, cost-effective care through collaboration, documentation, and connecting members with community resources.